| NPI | 1326169996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD J. ROELOFS Manager 800-200-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: CA TG033) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-10-13 |